Coaching focuses on non-clinical guidance, personal growth, and self-discovery. In psychedelic coaching, we explore how psychedelics can be used responsibly for insight and transformation, providing preparation and integration support outside of a therapeutic, medically supervised context. Often my coaching clients are seeking the work with the psychedelic medicine(s) (such as Iboga/Ibogaine, 5-MeO-DMT, Ketamine, Ayahuasca, Huachuma, or Psilobycin) in a country where these medicines are legally available and seeking support for their journeys before and after their medicine ceremony. Through a coaching platform, I am able to support clients around the country, as well as internationally.

If you’re dealing with complex challenges such as trauma, PTSD, or treatment-resistant depression, Ketamine-Assisted Therapy may be the best option. Therapy provides a safe, medically supervised setting where licensed professionals support your healing journey through a trauma-informed approach, using psychedelics as a therapeutic tool to facilitate meaningful change.

Ketamine is a legal, safe and effective medicine used to treat a variety of mental health conditions, including depression, anxiety and PTSD. Ketamine has rapidly-acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hrs after treatment and last for up to 4 weeks.

We are learning that ketamine works on many systems in the body, beyond the traditional pathways like impacting serotonin. It works by blocking the brain’s NMDA receptors as well as by stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvement.

These same properties also provide the brain with a high flow of Brain Derived Nootropic Factors (BDNFs) for 7-10 days following the session. Usually, when not using a psychedelic paired with therapy there is no BDNF change, and we are actually working on changing the nervous system at a much slower pace with far less durability of effect in conditions resistant to standard treatments.

Due to the BDNF benefit a unique stage is then created to support robust new neural growth allowing for greater ease in integrating the understanding gained during the KAT appointment, and more easily change thoughts, behaviors, and emotions related to that processing.

Finally, usually known as an anesthetic at high doses, the fractional doses used in psycholitic (KAP) and psychedelic (KAT) doses are supportive for reducing chronic pain and inflammation. When working with KAT for chronic illness and chronic pain, often more information becomes available about how the subconscious mind is relating with this illness/pain state. Opening up this understanding can be extremely helpful for making meaning out of the challenges that one faces while living with Chronic Pain and/or Illness.

There are two ways of working therapeutically with ketamine: Ketamine-Assisted Therapy and Ketamine-Assisted Psychotherapy (KAP).

The difference between the two is whether or not we are together in session during the ketamine administration.

In KAT, IV or IM ketamine administration is completed in a clinic under medical supervision and our sessions take place before and after for preparation and integration.

In Ketamine-Assisted Psychotherapy the route of administration of ketamine is through oral lozenges that you self-administer in either a telehealth session from your home, or in my office, and I am with you through the dosing session for support and integration.

Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges.

In my work with Journey Clinical we use the sublingual lozenge form.

I also maintain partnership with Klarisana, where IM Ketamine is offered. Klarisana also accepts Medicaid, United Healthcare and Anthem which may make them an ideal partner should you have insurance benefits.

Choosing between IV/IM (intravenous/intramuscular) route of administration ketamine or using lozenges depends on your budget, treatment goals, medical history, and comfort level.

IV/IM delivery offers a more controlled, rapid onset and is often recommended for individuals needing higher precision in dosing, or feel more comfortable with a medical team available onsite.

If you choose this route, we would meet for Preparation and Integration Sessions before and after your Dosing sessions, but would likely not be together during the dosing sessions.

Lozenges, on the other hand, are self-administered and provide a more flexible, gradual experience, making them ideal for working through what arises during the treatment while in session with me.

During your consultation, we’ll explore the best option for you based on your needs and preferences.

If you are choosing to work with Lozenges via Journey Clinical, the following information is what you can expect.

1. Initial consultation with Journey Clinical

You schedule an initial evaluation with a Nurse Practitioner from the Journey Clinical medical team via zoom. They will go over your medical and psychiatric history with you, provide education on the treatment and determine if you are eligible for KAP.

If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcome monitoring plan for you.

Journey Clinical’s medical staff will write a ketamine prescription for you, and a small amount of oral ketamine will be sent to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions.

2. Preparation sessions:

Once you receive your ketamine lozenges, we will schedule time together for our KAP preparation, dosing and integration sessions. Preparation session(s) will be scheduled just like regular therapy sessions prior to the KAP dosing session. The goal of a preparation sessions is to deepen an understanding of your history, align on the process, goals and set intentions for our KAP sessions together.

3. KAP Dosing Session:

A typical ketamine dosing session lasts between 1.5-2 hours and can remotely via telehealth or in the office.

* It is important that if we are working via telehealth that you have a person available as a chaperone at home with you during the dosing session. This is a requirement by both my practice and Journey Clinical to support safety. If we are working together in the office, it is vital to know that you cannot drive after the session, as your motor neurons will still be impaired and could lead to an accident. I require a person be there to pick you up, or that you source alternative transportation like with Lyft or Uber.

During a dosing session, you will self-administer your ketamine lozenge in your home or my office. You will be in a comfortable, reclining position wearing an eye mask and listening to music crafted specifically for KAP. Although a KAP dosing session may be largely an internal experience, many people are able to engage psychotherapeutically throughout. I will be present with you the entire time to hold space and provide support as needed.

4. Integration Sessions:

After our KAP dosing session, we will meet for integration therapy to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session.

5. Follow-up consultations with Journey Clinical:

After our first KAP session, Journey Clinical’s medical team schedules regular follow ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow ups depends on your unique treatment plan, at a minimum of once per quarter.

Follow-up Consultations with Journey Clinical :

After our first KAP session, Journey Clinical’s medical team schedules regular follow ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow ups depends on your unique treatment plan, at a minimum of once per quarter.

If you are choosing to work with IV/IM delivery with Klarisana, the following information is what you can expect after I submit the referral to Klarisana.

1. Initial consultation with Klarisana

You schedule an initial evaluation with a provider with the Klarisana medical team via zoom. They will go over your medical and psychiatric history with you, provide education on the treatment and determine if you are eligible for KAT.

If Klarisana’s medical team determines that you are eligible for KAT, they will develop a personalized Ketamine prescription and outcome monitoring plan for you.

You would then schedule your first dosing session to occur after we have completed 2 to 3 Preparation sessions. During your Intake Appointment we can discuss the timing of the Prep sessions, as the structure can vary.

2. Preparation sessions:

Preparation session(s) will be scheduled just like regular therapy sessions prior to the KAT dosing session. The goal of a preparation sessions is to deepen an understanding of your history, align on the process, goals and set intentions for our KAT sessions together.

3. KAT Dosing Session:

A typical ketamine dosing session lasts between 1.5-2 hours and are completed in one of Klarisana’s locations.

During a dosing session, you will be administered ketamine in the clinic, and supported through visual monitoring for safety via camera. You will be in a comfortable, reclining position wearing an eye mask and listening to music crafted specifically for KAT. Although a KAT dosing session may be largely an internal experience, the clinic employs well-trained providers to hold space and provide support as needed.

4. Integration Sessions:

After your KAT dosing session, we will meet for an integration therapy session to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session. These Dosing and Integration Sessions work in tandem - one dosing session then one integration session - as you work through your goals and intentions until you have reached relief. There is the possibility of additional integration sessions following the end of the dosing and integration cycle.

4. What Happens Next?

The frequency of maintenance of treatment depends on your unique presentation and goals. We will monitor how you are doing between maintenance cycles.

My Hourly Rate
$190/hr; I am in network with Colorado Medicaid, Cigna, and United Healthcare

Treatment via Journey Clinical

• Medical Intake: $250 (One-time fee, reimbursable through out-of-network)

• Follow-up Sessions: $150/Session (minimum of 1 per quarter, reimbursable through out-of-network)

• Cost of Ketamine Lozenges: $75 for approximately 4-6 treatment doses (not covered by insurance).

Treatment via Klarisana

• In-Network with Colorado Medicaid, Anthem, and United Healthcare

• Colorado Medicaid has $0 personal cost.

• Commercial health plan costs vary depending on your plan. Please reach out to them directly for benefits check and cost responsibility.